Individual
MARTIN BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
535 W SECOND ST STE 207, LEXINGTON, KY 40508-1268
(646) 831-2018
Mailing address
4601 SHELBY LN, LEXINGTON, KY 40515-8533
(646) 831-2018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
258054
KY
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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